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Looking at the 2014 Oscars from a Cosmetic Surgery Point of View

Cosmetic Surgery for Real, by Richard Buckley, MD, Milford, PA

Cosmetic surgery among the stars at this year’s Oscars was rampant and obvious.

That’s not a good thing.

Cosmetic surgery is far from ideal when it’s obvious. The goal in cosmetic surgery is to achieve natural-looking results. Patients should emerge looking naturally fantastic and rested.

Instead, there were only a small number of actors and others (mostly women) who looked magnificent. Regardless of their age, these aesthetic “winners” were free of the telltale bad cosmetic surgery signs: unnaturally big cheeks, blurred lip borders, taut or frozen skin and more.

Eighty-one-year-old actress Kim Novak presented at the Oscars, announcing the award for Disney’s film Frozen. Unfortunately for the legendary film star, the irony sparked Twitter jokes about her frozen looks.

Youthful skin is not taut. It’s rounded, smooth, appears resilient and moves.

I noticed more men than women this year seemed to show their age and photodamage. Advancing years, time in the sun and, in some cases, hard living were making their debuts at the 2014 Oscars. So many of these people could benefit from cosmetic options available today.

Let me offer a few specifics. Actor Morgan Freeman has raised black growths on his face, known as papulosa nigra. We can effectively remove those with lasers, but it’s important to go to someone who is experienced. Approaching papulosa nigra in the wrong way can lead to hyperpigmentation or hypopigmentation, especially on skin of color (darker skin types).

Another example is actor Bill Murray, born in 1950. Cosmetic surgery could go a long way in making Mr. Murray look less weathered. He has a lot of brown spots caused by the sun, facial volume loss caused by thinning of the structures beneath the skin, as well as decreased skin elasticity. And, he has turkey gobbler neck, with loose skin. He might feel perfectly comfortable with the imperfections, but many people don’t like these signs of aging and want to do something about them.

We can address Mr. Murray’s signs of aging without surgery and improve his looks dramatically, according to society’s standards. Specific procedures might include rebalancing his own fat, which is known as fat transfer. Fat transfer would address the facial volume loss. In addition, we could target his old age spots (brown pigment – blotchy skin) and skin laxity with laser and light treatments. I often use a combination of lasers, such as the Fraxel re:store, and infrared devices, such as Thermage.

For more information about these and other cosmetic procedures, as well as before and after pictures of actual patients, visit

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